THE TREATMENT OF AURAL CATARRH IN THE LONDON CENTRAL THROAT, NOSE AND EAR HOSPITAL.

Late Senior Clinical Assistant Central Throat, Nose and Ear Hospital and at the London Throat Hospital; Fellow of the British Rhinological, Laryngological and Otological Association, and of the American Medical Association. ST. LOUIS, MO.

In a previous number, having given the treatment of the different forms of nasal discharge classified as catarrhal, at the Central Hospital, I shall now proceed to make clear the method used for the cure of those varieties of ear disease usually termed catarrh, and divided into acute non-suppurative, acute suppurative, chronic non-suppurative and chronic suppurative.

Acute Non-suppurative and Suppurative.—Since the acute suppurative is only a more advanced or severe form of the non-suppurative, for clinical convenience they will be discussed together. Children who are victims of adenoids in the naso-pharynx are most susceptible to acute catarrh. Frequently the disease progresses no further than the non-suppurative variety. When due to adenoids they are removed under nitrous oxid gas, the curette generally being invoked, followed by a good finger scraping. When the faucial tonsils are enlarged they are removed first, at the same sitting, with a Mackenzie guillotine, the whole